Table 1 Clinical trials combining RT and immune checkpoint blockade for HNSCC.

From: Radiation resistance in head and neck squamous cell carcinoma: dire need for an appropriate sensitizer

Study identifier

Disease type

Phase

Design

Primary endpoint

NCT03799445

Locally advanced

II

RT + immune checkpoint inhibition (nivolumab + ipilimumab)

DLTs, CR rate (6 months) and PFS (2 years)

NCT03509012

Locally advanced

I

RT + cisplatin + durvalumab

DLTs (28 days post therapy) and AEs (90 days post therapy)

NCT03426657

Locally advanced

II

RT + durvalumab + tremelimumab

Feasibility, tumor-infiltrating CD8+ T cells and DLTs

NCT0351906

Locally advanced

I/II

RT + cetuximab + durvalumab

PFS (2 years)

NCT02999087

Locally advanced

III

Arm 1: RT + cisplatin

PFS (6 years)

   

Arm 2: RT + cisplatin + avelumab

 

NCT02764593

Locally advanced

I

Arm 1: Cisplatin + nivolumab

Dose-limiting toxicity (28 days post therapy)

   

Arm 2: High dose cisplatin + nivolumab

 
   

Arm 3: Cetuximab + nivolumab

 
   

Arm 4: RT + nivolumab

 

NCT03623646

Locally advanced

II

Arm 1: RT + cisplatin

Progression (1 year)

   

Arm 2: RT + durvalumab

 

NCT03546582

Recurrent or second primary

II

Arm 1: SBRT + pembrolizumab

PFS (2 and 5 years)

   

Arm 2: SBRT

 

NCT03522584

Recurrent or Metastatic

I/II

SBRT + durvalumab + tremelimumab

Safety and AEs (2 years)

NCT03317327

Recurrent or second primary

I/II

RT + nivolumab

AEs (6 months post therapy)

NCT03212469

Metastatic

I/II

SBRT + durvalumab + tremelimumab

DLTs

NCT03085719

Metastatic

II

Arm 1: High dose RT + pembrolizumab

ORR (1 year)

   

Arm 2: High dose + low dose RT + pembrolizumab

 

NCT02684253

Metastatic

II

Arm 1: Nivolumab

BOR (96 weeks)

   

Arm 2: SBRT + nivolumab

 

NCT03283605

Metastatic

I/II

RT + immune checkpoint inhibition (durvalumab + tremelimumab)

Acute toxicity (3 months) and PFS (6 months)

NCT03313804

Advanced or metastatic

II

SBRT or fractionated RT + nivolumab or pembrolizumab or atezolizumab

PFS (6 months)

  1. Data are from www.clinicaltrials.gov.
  2. DLTs dose-limiting toxicities, AEs adverse events, CR complete response, DFS disease-free survival, PFS progression-free survival, ORR overall response rate, BOR best overall response.